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Debbie is a 43-year-old female being evaluated for a wrist
injury. The clinician is assessing for median nerve
compression by having Debbie maintain forced flexion of
her wrist for 1 minute with the dorsal surface of each hand
pressed together. Which of these tests did the clinician just
perform?
a. Allen's test
b. Phalen's test
c. Tinel's test
d. Finkelstein's test - ....ANSWER...b. Phalen's test
Which of the following medications is appropriate to treat
Paget's disease?
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,a. Boniva
b. Fosamax
c. Reclast
d. Forteo - ....ANSWER...C. Reclast
A clinician is examining a vertebral fracture, and the
examination and diagnostic findings have shown a
compression of the anterior column that includes both
endplates. What type and subtype are these?
a. Compression Fracture, Type A
b. Burst fracture, Type B
c. Seat-belt type injury, level two
d. Fracture-dislocation, shear - ....ANSWER...a.
Compression Fracture, Type A
Mrs. Allen is a 60-year-old woman who has been diagnosed
with osteoporosis. She is very concerned about the risk of
breast cancer associated with hormone replacement
therapy and is wondering what else is available to her. The
clinician explains that biphosphonates are another class of
drugs used in the prevention and treatment of
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,osteoporosis. What teaching should the clinician give Mrs.
Allen in regard to taking biphosphonates?
a. Taking biphosphonates can result in hypercalcemia, so
calcium intake should be decreased while taking this class
of drugs.
b. There is potential for upper gastrointestinal
(GI) irritation, so these medications are
contraindicated in people with abnormalities of
the esophagus or delayed esophageal emptying.
c. This class of drugs can be taken at any time of the day
without regard to meals.
d. None of the above - ....ANSWER...b. There is potential
for upper gastrointestinal (GI) irritation, so these
medications are contraindicated in people with
abnormalities of the esophagus or delayed esophageal
emptying.
The clinician suspects that a client has patellar instability.
In order to test for this, the client is seated with the
quadriceps relaxed, and the knee is placed in extension.
Next the patella is displaced laterally, and the knee flexed
to 30 degrees. If instability is present, this maneuver
displaces the patella to an abnormal position on the lateral
femoral condyle, and the client will perceive pain. Testing
for patellar instability in this way is known as:
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, a. Apprehension sign
b. Bulge sign
c. Thumb sign
d. Lachman Sign - ....ANSWER...a. Apprehension sign
The clinician is caring for Diane, a 22-year-old woman who
presents with an injured ankle. Diane asks the clinician if
she will need an x-ray. The clinician explains to Diane that
an x-ray is not always necessary for an injured ankle and
that the decision to obtain radiographs is dependent on the
examination and Diane's description of her injury. Which
of the following clues in Diane's examination or history
would alert the clinician to the need for obtaining
radiographs?
a. Ability to bear weight immediately after the injury
b. Development of minor ankle swelling after the injury
c. Slight bruising over the injury site 2 days after injury
d. Crepitation with palpation or movement of the
ankle -
....ANSWER...d. Crepitation with palpation or movement
of the ankle
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